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Organization

SUNDANCE COMFORT LIVING INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VANESSA RICCHIAZZI LVN (LVN ADMINISTRATOR)
(626) 235-2988
Entity
Organization

Contact information

Practice address
68430 RISUENO RD, CATHEDRAL CITY, CA 92234-8803
(626) 235-2988
Mailing address
1322 ALAMEDA AVE, GLENDALE, CA 91201-1120
(626) 235-2988

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
251G00000X
Community Based Hospice Care Agency
310400000X
Assisted Living Facility
Primary
311500000X
Alzheimer Center (Dementia Center)

Other

Enumeration date
01/24/2022
Last updated
01/24/2022
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